Adverse pregnancy outcomes after in vitro fertilization due to undiagnosed urogenital tuberculosis and proposed screening algorithm for patients from tuberculosis-endemic countries

Autor: Stephanie E. McLaughlin, M.D., M.P.H., Surabhi B. Vora, M.D., E. Chandler Church, M.D., M.Sc., Christopher Spitters, M.D., Angela Thyer, M.D., Sylvia LaCourse, M.D., Christopher N. Herndon, M.D.
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: F&S Reports, Vol 3, Iss 3, Pp 285-291 (2022)
Druh dokumentu: article
ISSN: 2666-3341
DOI: 10.1016/j.xfre.2022.07.008
Popis: Objective: To report 2 cases of adverse pregnancy outcomes due to delayed diagnosis of urogenital tuberculosis and propose a screening algorithm for patients from tuberculosis-endemic countries. Design: Case report. Setting: Academic medical center. Patient(s): Two patients with delayed diagnosis of urogenital tuberculosis leading to a fetal loss and a preterm delivery of an infant with congenital tuberculosis. Intervention(s): Endometrial biopsy, acid-fast bacilli culture of urine, and endometrium. Main outcome measure(s): Pregnancy outcomes. Result(s): Fetal loss at 19 weeks and preterm delivery of an infant with congenital tuberculosis before urogenital tuberculosis treatment. Conclusion(s): Patients who are at risk of urogenital tuberculosis should be screened in advance of infertility treatment to potentially prevent adverse pregnancy outcomes.
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